中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
7期
17-18
,共2页
血液稀释%子宫颈癌行子宫广泛切除术%血色素血球压积
血液稀釋%子宮頸癌行子宮廣汎切除術%血色素血毬壓積
혈액희석%자궁경암행자궁엄범절제술%혈색소혈구압적
Cervical cancer%Uterine blood dilution wide excision hemoglobin%Hematocrit
目的 探讨术前急性高容量血液稀释(AHH)用于子宫广泛切除术围手术期血色素(HB),血球压积(Het),及电解质变化的影响.方法 将46例经病理切片确诊为子宫颈癌患者作为研究对象,术前20 min开始输入乳酸钠林格氏液(15 mL/kg,50 ml/min),于稀释前、AHH后(切皮前)、手术结束分别抽取输液对侧贵要静脉血.使用I-STAT血气分析仪,EC8+试剂片测定HB、Hct、Na、K、CL值.结果 稀释后、手术结束后与稀释前比较Hb、Het差异有显著性(P＜0.05),但手术结束后与稀释后比较则无显著性差异(P＞0.05).而电解质除K在手术后与稀释前、稀释后比较差异有显著性外(P＜0.05),余无显著性差异(P＞0.05).结论 术前急性高容量血液稀释用于子宫颈癌行子宫广泛切除术术可保持HB、Hot在正常范围而对血电解质浓度无影响,可避免异体输血导致血源性传播疾病,是一种有效、简便的方法.
目的 探討術前急性高容量血液稀釋(AHH)用于子宮廣汎切除術圍手術期血色素(HB),血毬壓積(Het),及電解質變化的影響.方法 將46例經病理切片確診為子宮頸癌患者作為研究對象,術前20 min開始輸入乳痠鈉林格氏液(15 mL/kg,50 ml/min),于稀釋前、AHH後(切皮前)、手術結束分彆抽取輸液對側貴要靜脈血.使用I-STAT血氣分析儀,EC8+試劑片測定HB、Hct、Na、K、CL值.結果 稀釋後、手術結束後與稀釋前比較Hb、Het差異有顯著性(P＜0.05),但手術結束後與稀釋後比較則無顯著性差異(P＞0.05).而電解質除K在手術後與稀釋前、稀釋後比較差異有顯著性外(P＜0.05),餘無顯著性差異(P＞0.05).結論 術前急性高容量血液稀釋用于子宮頸癌行子宮廣汎切除術術可保持HB、Hot在正常範圍而對血電解質濃度無影響,可避免異體輸血導緻血源性傳播疾病,是一種有效、簡便的方法.
목적 탐토술전급성고용량혈액희석(AHH)용우자궁엄범절제술위수술기혈색소(HB),혈구압적(Het),급전해질변화적영향.방법 장46례경병리절편학진위자궁경암환자작위연구대상,술전20 min개시수입유산납림격씨액(15 mL/kg,50 ml/min),우희석전、AHH후(절피전)、수술결속분별추취수액대측귀요정맥혈.사용I-STAT혈기분석의,EC8+시제편측정HB、Hct、Na、K、CL치.결과 희석후、수술결속후여희석전비교Hb、Het차이유현저성(P＜0.05),단수술결속후여희석후비교칙무현저성차이(P＞0.05).이전해질제K재수술후여희석전、희석후비교차이유현저성외(P＜0.05),여무현저성차이(P＞0.05).결론 술전급성고용량혈액희석용우자궁경암행자궁엄범절제술술가보지HB、Hot재정상범위이대혈전해질농도무영향,가피면이체수혈도치혈원성전파질병,시일충유효、간편적방법.
Objective To evaluate the preoperative acute hypervolemic hemodilution (AHH)for wide excision of uterine perioperative hemoglobin(HB),hematocrit (Het),and electrolyte changes.Methods 46 cases with pathologically diagnosed with cervical cancer biopsy,as object of study,preoperative 20 min start typing lactated ringer' s solution( 15 ml/kg,50 ml/min).In pre-dilution,AHH after( before skin incision),taking the end of surgery the contralateral basilic vein blood transfusion.Using the I-STAT blood gas analyzer,EC8 + reagent tablets determination of HB,Hct,Na,K,CL values.Results The diluted the end of surgery after dilution earlier Hb,Het difference was significant(P ＜ 0.05 ).However,after the end of surgery compared with diluted no significant difference( P ＞ 0.05 ).In addition to K in the hand and the electrolyte patients with pre-diluted and diluted there was significant difference between the outer ( P ＜ 0.05 ),I was no significant difference between(P ＞ 0.05).Conclusion Preoperative acute hypervolemic hemodilution in uterine cervical cancer,wide excision surgery can maintain HB,Hct in the normal range but had no effect on blood electrolyte concentration can avoid allogeneic blood transfusion led to blood-borne transmitted diseases,is an effective,easy way.
